Michael Jackson
Any parent of a child with ADHD knows how complicated this diagnosis can be. It seems ever present currently and there is indeed some risk of over diagnosing. There are some clear cut cases, where all the evidence points in the direction of a diagnosis of ADHD and then there are those that are somewhat more vague. Maybe the test scores indicate traits of ADHD or are on the borderline. Maybe the child was tested at a time when he or she wasn't feeling well or was particularly anxious or distracted or even tired. For this reason it is important, when having your child tested, to have a series of tests that allow the clinician a good sample of your child's behavior and abilities over several meetings. If the diagnosis is indeed confirmed then here is some new information which may shed some light on the situation.
A study from the National Institutes of Health determined that the brain of someone with ADHD develops in the normal way but may be delayed, in some regions, up to three years. The study was done using imaging technology which identified the thickening and thinning of areas of the cortex in the brains of children both with and without the disorder. The identified delay seems to reside in the cortex.
This study answers the question that has been presented over time about whether the brains of ADHD patients develop differently or just more slowly than those without ADHD. The good news here is that the evidence that the development is slower leaves room for the possibility that these children will eventually catch up to their non- ADHD peers. It also explains why some children seem to grow out of the disorder altogether.
While brain scans are used in some research centers for children with ADHD it is not commonplace and they are not yet at a point of using it as a diagnostic tool. This may change, and there is hope in the research that is being done to find ways to speed up the developing brain which could lead to the alleviation of some of the impulsivity and inappropriate behaviors that are often associated with ADHD.
If you are having your child tested make sure to find a qualified psychologist who specializes in educational or developmental testing. When I refer my own clients who have concerns over their children for an evaluation, I help them to choose a holistic practitioner. This is someone who looks at the whole child and not just strictly numbers on a page. It is also someone who, once a diagnosis is made, can help find the appropriate resources to assist your child in navigating these sometimes murky waters. With all the attention that ADHD is currently receiving there is hope that new and better ways, of helping these children to learn and cope with this disorder, are being discovered.
For more information on this you can go to:
http://www.nih.gov/news/pr/nov2007/nimh-12.htm/
For those of you who think this is not a real disorder, please read the research before you spout your misguided information here. I'm not saying that it can't be overdiagnosed - that would be naieve. But it is a real, biologically based disorder. As our doctor told my daughter - it is like being born with blue eyes. It's just the way God made you. It is different parenting an ADD child, but they are wonderful.
Also, for the grandmother who said her grandchild could not be ADHD because he was able to focus for more than ten minutes - that is a flawed analysis. One problem ADHD kids have is HYPERfocus. They are quite capable, and often do, become fixated on things for long periods of time. The trouble comes when they focus on the wrong things at the wrong times.
My husband is ADHD as well, and was diagnosed/medicated for it in the 80s. He had a rough time with his meds and refuses, now, to medicate even though he clearly needs to. He has issues with keeping a job because he works more slowly, loses focus, etc. But all he remembers of his time on meds is being unable to sleep and having no appetite. We struggled with those issues with our daughter as well, but eventually found meds that worked for her. He won't even CONSIDER looking into this with his doctor. His lack of focus and inability to pay attention has stressed our relationship a lot. We are considering having a child together (he's my 2nd hubby) and that's one thing that worries me. What if I leave him with the baby, and he's too wrapped up in his tv show to pay attention to what is going on around him? It's a stressor.
Bottom line folks, please don't be judgmental. We are doing the best we can for our kids, and our parenting is not to blame for their issues. This is the way God made them.
I do recommend that if your child does have a behavioural disorder, you tell other parents why s/he is *acting out* -- most of us will be more accommodating if we know it is not simply bratty behaviour. I also recommend removing him or her from the situation if s/he is obviously creating problems for others. If you can.
I wouldn't tell anyone they are bad because they don't want to have their child evaluated for this legit medical issue, but I would like to point out that in my personal experience, I think a child would be more receptive to being tested for this issue and would be more open to the treatment than an adult. It has caused a world of hurt for me in my marriage being married to someone who never knew he had ADHD, not only because I didn't know why he does the things he does, but also because at 32, the suggestion that he had the diagnosis was met with resistance and even anger at me and the therapist for even SUGGESTING he get help.
I only wish his Mother, peditrician and teachers would have, I don't know, known more, looked harder, or whatever, because now, as the spouse, I have literally been put through hell. Maybe it wasn't diagnosed in the 80's like it is today, but it would have been helpful to know and treat when he was younger. Not only for myself, but for him. When you hit your "rock bottom" with this illness, it is a family killer, it is horrible for everyone, and who wants that for their child and their spouse.
I honestly hope that this is not a diagnosis that is "over used", but on the other hand, if you do think this is something that your child has, I hope you do get it treated, however is best with you-medication, CBT, holistically. It can affect every aspect of your child's life when they are an adult from their jobs, to their relationships, to their marriage.
You could save them, yourself and others that care about them a lot of struggle and pain.
I also agree that there are too many medications used and too much reliance on drugs alone. Just like other medical conditions, diet, exercise, behavior modification, and other therapies can enhance what medication assists. The pill doesn't fix ADHD anymore than insulin alone fixes diabetes.
Having said that, when the diagnosis is made by a qualified practitioner, and everyone agrees on a treatment plan, the kids on medication do WAY better in school performance, self-esteem, reducing injuries and high risk behaviors like drug use and teen pregnancy. This has been shown in multiple reputable studies NOT funded by pharmaceutical companies, and is born out in my own practice.
I am very holistic and often prescribe massage therapy, Yoga, and visits to nutritionist for many conditions, and do not consider myself a drug pusher, but when carefully monitored, medication in ADHD is invaluable, and I have seen many families who agree, but the trick is to pay close attention to the child because each one is very unique. One size does not fit all, and the individual and his family still have to take responsibility for managing their symptoms and overall health.
It is my personal opinion that a very large percentage of ADHD diagnoses are made by people who are trying to use medication to counteract the natural tendency of boys to resemble German Shepherds -- that is, a boy who has been confined in a classroom for 8 hours has a crying need to get outdoors and run, fight, wrestle, chase things, scream, yell and play. Modern urban society requires this boy instead to go home to a small apartment and confine himself indoors in front of a screen. This expectation produces the inevitable results.
The problem is not a Syndrome, and the answer is not drugs. The problem is a growing lack of understanding of the normal needs and behaviours of little boys -- largely due to both the shrinking family and the probability that mothers and fathers both have never had experience with babies, toddlers or small children before giving birth, and to the rising tendency to slap a medical label on every behaviour problem, thus absolving both parents and other adults from the necessity of actually rearing children.
Just for one example: my foster grandsons mother said that he was unable to pay attention to or follow instructions. In my first walk through the park with mother and child (he was 8 years old) I found that she constantly yelled at him when he got ahead of us on the path, and that indeed he paid no attention to that. My solution was one I had used on active little nephews: I suggested to him that we see how many times he could run around a big oak tree. Mom and I sat on a nearby bench and I counted aloud as he ran himself dizzy. When he finally dropped to the grass, his eyes shining with excitement, I congratulated him for the astounding total he had reached, rewarded him with an ice cream cone, and we resumed our walk with Junior perfectly happy to walk with us to the playground where he could resume speed.
ADHD was unknown until grants made it financially advantageous to invent it. If parents would start rearing their children again, 95% of these cases would disappear overnight.